Name: | West Alabama Couple and Family Therapy, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 30 Jan 2020 (5 years ago) |
Entity Number: | 000-604-700 |
Register Number: | 000604700 |
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Registered Office Street Address: | 2110 EVERGREEN LANETUSCALOOSA, AL 35405 |
Registered Office Street Address ZIP Code: | 35405 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1447885207 | 2020-03-11 | 2020-03-11 | 2110 EVERGREEN LN, TUSCALOOSA, AL, 354058223, US | 2825 7TH ST, TUSCALOOSA, AL, 354011807, US | |||||||||||||||||||||
|
Phone | +1 432-413-4966 |
Authorized person
Name | MICHA BLAKE BERRYHILL |
Role | OWNER |
Phone | 4324134966 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | No |
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | Yes |
Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
Is Primary | No |
Name | Role |
---|---|
BERRYHILL, MICHA B | Agent |
Name | Role | Address |
---|---|---|
BERRYHILL, MICHA BLAKE | Organizer | 2110 EVERGREEN LANETUSCALOOSA, AL 35405 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State